Treatment of hallux valgus by modified McBride procedure: a 6-year follow-up

Yücel, İstemi; Tenekecioğlu, Y.; Öğüt, Tahir; Kesmezacar, Hayrettin

doi:10.1007/s10195-010-0092-0

Cited by 15 publications

(7 citation statements)

References 23 publications

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“…Their effectiveness is evaluated in most cases by radiological examination, the American Orthopaedic Foot and Ankle Society (AOFAS) scores and subjective feelings of the patient (Baba et al, 2009; Carr and Boyd, 1968; Deenik et al, 2008; Flamme et al, 1998; Glazebrook and Copithorne, 2008; Kilmartin et al, 1992, 1994; Kleinberg, 1932; Kristen et al, 2002; Mauldin et al, 1990; McBride, 1939; O’Donnell et al, 2009; Orzechowski et al, 2008; Perugia et al, 2003; Pressman et al, 1986; Resch et al, 1994; Saragas, 2009; Saro et al, 2007b; Saro et al, 2007c; Yucel et al, 2010). However, these outcome measures are either static or subjective, and thus objective evaluation during dynamic conditions (i.e.…”

Section: Introductionmentioning

confidence: 99%

Hallux valgus surgery affects kinematic parameters during gait

Klugarová

Janura

Svoboda

et al. 2016

Clinical Biomechanics

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Background The aim of our study was to compare spatiotemporal parameters and lower limb and pelvis kinematics during the walking in patients with hallux valgus before and after surgery and in relation to a control group. Methods Seventeen females with hallux valgus, who underwent first metatarsal osteotomy, constituted our experimental group. The control group consisted of thirteen females. Kinematic data during walking were obtained using the Vicon MX system. Findings Our results showed that hallux valgus before surgery affects spatiotemporal parameters and lower limb and pelvis kinematics during walking. Hallux valgus surgery further increased the differences that were present before surgery. Specifically after hallux valgus surgery, the walking speed decreased even more (p=0.09, η2= 0.19) while step time increased (p=0.002, η2=0.44) on both legs. The maximum ankle plantar flexion of the operated leg during toe off decreased to a greater extend (p=0.03, η2=0.26). The asymmetry in the hip and the pelvis movements in the frontal plane (present preoperatively) persisted after surgery. Interpretation Hallux valgus is not an isolated problem of the first ray, which could be just surgically addressed by correcting the foot’s alignment. It is a long-term progressive malfunction of the foot affecting the entire kinematic chain of the lower extremity.

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Section: Introductionmentioning

confidence: 99%

Hallux valgus surgery affects kinematic parameters during gait

Klugarová

Janura

Svoboda

et al. 2016

Clinical Biomechanics

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“…In addition to the osseous approach using osteotomies and arthrodesis, the soft tissue approach, such as the McBride procedure and its modifications (18), has also been described. Soft tissue approaches are less traumatic than osseous procedures but have also been deemed less effective (19,20).…”

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confidence: 99%

Can the Syndesmosis Procedure Prevent Metatarsus Primus Varus and Hallux Valgus Deformity Recurrence? A 5-Year Prospective Study

Lam

2018

The Journal of Foot and Ankle Surgery

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One of the main objectives of hallux valgus surgery is correction of the metatarsus primus varus deformity by osteotomy, arthrodesis, or soft tissue correction. The syndesmosis procedure uses intermetatarsal cerclage sutures to realign the first metatarsal and also induces a syndesmotic bonding between the first and second metatarsals to prevent metatarsus primus varus deformity recurrence. The purpose of the present study was to demonstrate radiologic evidence of the effectiveness of the syndesmosis concept and to identify the incidence and nature of deformity recurrence. A total of 55 feet from 60 consecutive procedures were followed regularly at 6 fixed points for 5 years. The radiologic inclusion criterion was a first intermetatarsal angle >9° or metatarsophalangeal angle >20°. The initial postoperative radiographs showed significant correction of the intermetatarsal angle from a preoperative average of 14.5° to 4.3° (p < .0001). It had increased to 7.0° during the first 6 postoperative months but remained within the normal upper limit of 9° and exhibited no further significant changes for the subsequent 4.5 years (p = .0792). Hallux valgus deformity correction also correlated with metatarsus primus varus deformity correction. Three (5%) second metatarsal stress fractures occurred, and all recovered uneventfully. In conclusion, we have report the findings from a detailed medium long-term follow-up study showing, to the best of our knowledge, for the first time that metatarsus primus varus and hallux valgus deformities can be effectively corrected and maintained using a specific surgical technique. Also included are 6 relevant radiographs and photographs of the included and excluded feet in the online Supplementary Material for reference.

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“…Many surgical techniques have been described, with a trend to prefer distal minimally invasive techniques [7,8,14,[22][23][24][25]. When approaching a pediatric patient with open physes, distal metatarsal osteotomies are preferred, since first metatarsal osteotomies would risk violating the area of the growth plate [4].…”

Section: Discussionmentioning

confidence: 99%

The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus

et al. 2023

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Hallux valgus (HV), one of the most common forefoot pediatric pathologies, is characterized by lateral deviation of the big toe and medial displacement of the first metatarsal bone. Different surgical techniques have been described to correct the deformity, but no consensus has been reached regarding the best surgical option. The aim of this retrospective study was to report the results of the SERI technique in 58 pediatric HV of 45 consecutive patients. Pre- and postoperative VAS, AOFAS score, HVA, IMA and DMAA were collected. Preoperatively 3 patients (5.2%) had a mild deformity, 52 patients (89.6%) had moderate deformity and 3 patients (5.2%) had severe deformity according to Coughlin et al. Mean VAS score decreased from 5.2 ± 2.2 preoperatively to 0.8 ± 0.4 postoperatively. Mean AOFAS score improved from 68.1 ± 6.8 (range 59–75) preoperatively to 96.3 ± 3.2 (range 88–100) postoperatively, mean HVA reduced from 28.4° preoperatively to 13.2° postoperatively, mean IMA decreased from 15.2° preoperatively to 9.5° postoperatively (p < 0.01); mean DMAA decreased from 13.7° preoperatively to 8.2° postoperatively (p < 0.01). SERI technique showed satisfactory results when treating mild to severe pediatric HV deformity. No major complications were reported.

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Treatment of hallux valgus by modified McBride procedure: a 6-year follow-up

Cited by 15 publications

References 23 publications

Hallux valgus surgery affects kinematic parameters during gait

Hallux valgus surgery affects kinematic parameters during gait

Can the Syndesmosis Procedure Prevent Metatarsus Primus Varus and Hallux Valgus Deformity Recurrence? A 5-Year Prospective Study

The Minimally Invasive SERI Osteotomy for Pediatric Hallux Valgus

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